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Individual

MARTIE BRIANNA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
106 CEMETERY RD, LEBANON, KY 40033-1827
(270) 321-4198
Mailing address
303 S MONROE ST, COLUMBIA, KY 42728-1462
(270) 378-1005

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251253

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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